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  • 1.
    Appelros, Sara
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Samvetsstress och utbrändhet hos sjuksköterskor i kommunal hemsjukvård2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Stress in healthcare has been described as a specific form of stress that arises when immoral acts and ethically difficult situations lead to troubled conscience and stress of conscience. Previous studies have shown an association between stress of conscience and burnout.

    Aim: The aim was to examine the prevalence of and the stress of conscience and the association between stress of conscience and burnout among nurses working in municipal home care.

    Methods: A cross-sectional study was preformed using a questionnaire. The study was completed by 84 nurses working in municipal home care in southern Sweden, and the response rate was 79 percent.

    Results: The result showed that stress of conscience and burnout exists among nurses. The result showed a significant correlation between stress of conscience and exhaustion (r = 0.69, p <0.001). Of the participants, 27.4 percent (n = 23) were found to be at risk of exhaustion. Stress of conscience arose when work in health care felt so demanding that there was no energy to spend on their family. Feelings of troubled conscience occurred among 60.7 percent (n = 51) of the participants when they couldn’t give the care that the patient needed. But the participants testify that they rarely ever see patients being insulted or injured. Of the nurses, 22.6 percent (n = 19) reported that they were often exposed to incompatible work requirements. The result showed an increased sense of exhaustion among the participants, where 47.7 percent (n = 40) often feel tired after work and 40.4 percent (n = 34) answered that there were tired before work.

    Conclusion: Nurses working in municipal home care experience stress of conscience and exhaustion. Nurses experience troubled conscience when they cannot provide the care that the patient needs and when they are being exposed to incompatible demands at work. More than half of the participants experience an increased need for relaxation after work, while most of them felt that they tolerate the pressure of work well.

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